ArticleGlobal health action2024
Electronic health record and primary care physician self-reported quality of care: a multilevel study in China.
Article in Global health action, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- Specific service readiness for sick child health services and its relationship with quality of care and user experience in eight low-and middle-income countries.BMC health services research · 2026Article
- Developing Attributes and Levels for a Discrete Choice Experiment on Internet Hospital Service Preferences Among Chinese Patients with Chronic Diseases: A Mixed-Methods Study.Patient preference and adherence · 2026Article
- Diabetes management at the grass-root level without gatekeeping: exploring the association between primary care seeking and health outcomes.BMC primary care · 2025Article
- Self-Reported Medical Errors and Primary Care Physicians' Performance and Confidence in Delivering Care: A Multilevel Empirical Study in China.Healthcare (Basel, Switzerland) · 2025Article
- Exploring electronic health record systems implementation in primary health care centres in Saudi Arabia: pre-post implementation.Frontiers in medicine · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
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Abstract
backgroundHealth information technology is one of the building blocks of a high-performing health system. However, the evidence regarding the influence of an electronic health record (EHR) on the quality of care remains mixed, especially in low- and middle-income countries.
objectiveThis study examines the association between greater EHR functionality and primary care physician self-reported quality of care.
methodsA total of 224 primary care physicians from 38 community health centres (CHCs) in four large Chinese cities participated in a cross-sectional survey to assess CHC care quality. Each CHC director scored their CHC's EHR functionality on the availability of ten typical features covering health information, data, results management, patient access, and clinical decision support. Data analysis utilised hierarchical linear modelling.
resultsThe availability of five EHR features was positively associated with physician self-reported clinical quality: share records online with providers outside the practice (β = 0.276,
conclusionsThis study provides evidence that the availability of EHR systems, and specific features of these systems, was positively associated with physician self-reported quality of care in these 38 CHCs. Future longitudinal studies focused on standardised quality metrics, and designed to control known confounding variables, will further inform quality improvement efforts in primary care.
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